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Cold Calling Call all the phone numbers found in St. Amelia.

Here's Simon! Obtain the Axe.

Just Making Things Worse Reach the "Abandoned" ending.

Reject The Help After meeting Richard, do not use a phone to save the game.

Thorough Inspection Collect all of the documents.

Eraser Defeat the Weight.

Can't Change Things Exhaust the options in the Alternate Facility.

Resourceful Unlock all resource containers.

Sweeping Signals Tune into all signals on the CRTV.

Blur Your Eyes Collect all of the strange postcards

Find Yourself Make it back to the office on the 10th Floor.

Missing The Point Entirely Silence 30 Widows.

Creative Process Kill at least one enemy with Plank, Pipe, Pistol, Shotgun, Flare Gun, Bottle and Brick in a single playthrough.

Key To The Castle Unlock the path to CEG Tower.

Pinpoint Inaccuracy Land a head shot on any enemy with the Flare Gun from over 10 meters away

Many Into One Accept the transfusion in the Alternate Medical Centre.

From Scratch Create 20 new items by combining others.

Observation Collect 50% of all documents.

The Patient Tend to the Patient.

Save It For The Patients During the missions “Rounds” and “The Patient”, don’t use any healing items.

Static Distractions Distract 10 Enemies with a radio in the world.

Pull! Throw a bottle into the air, and shoot it with the pistol.

A Long Night Ahead Report to Dr. Glenn at the Medical Centre.

Long-Range Masonry Hit any enemy in the head with a brick from over 15 meters away.

Lured Off Track Distract 20 Enemies with a bottle.

Alarmingly Effective Successfully distract an enemy by setting off a car alarm.

Resignation At the Shorefront Family Clinic, show Zoe you understand.

Isolating Experience Wait in a hiding spot for 60 seconds.

Welcome To St. Amelia Escape the Otherworld and return to the town square.

I'm The Best There Is... Collect all Trophies

Repressed Memories Unlock the hidden memory in Nightmare Trials

One More Story Complete the Main Story

A Sinister End Defeat Essex

Ultimate Predator Reach Player Level 36
36/36

Small Mercies Set Walter free

Crate Collector Collect all Material Crates
68/68

Pathways of the Mind Discover all Nightmare Doors
14/14

Full Barrel Collect all Whisky Bottles
20/20

A Previous Life Learn the truth about your past

Had To Put Him Down Defeat Sabretooth

Harmer's Market Destroy all vendor stalls during the Sabretooth boss fight

Undercover Dress up as Patch

Adamantium Armory Craft enough suits to fully upgrade your Health
20/20

Secondary Mutations Reach Adaptation Level 10
10/10

Struck Dead Defeat Deathstrike

Cut Just As Deep Kill 100 enemies with the Helix Claws
100/100

Blindsided Stealth kill 10 enemies blinded by Jean
10/10

Saturn Slam Drop Saturn onto The Hand in Japan

The Monster In Me Survive the Helix Engine

Parry Perfected Parry 500 times
500/500